Groin Pain: Could It Be Related to Testicular Issues? - Urology

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Spermatic cord issues and testicular problems?


Last week, after playing basketball, I felt soreness in my groin.
I went to a family medicine clinic, and it was determined that I did not have a hernia.
I was prescribed anti-inflammatory and pain relief medication, and later I visited an orthopedic clinic.
They prescribed the same medication.
I also heard about the possibility of testicular torsion, but it was ruled out since some time had passed and the pain was not severe.
Recently, my condition seems to have improved, but when I walk, I feel a tightness in my testicles, and when I exert my abdominal muscles, I experience a sensation of the testicles being elevated.
I'm unsure of the cause.
Could it be related to anxiety or psychological factors?

Ju, 10~19 year old female. Ask Date: 2021/11/07

Dr. Du Shixi reply Urology


Hello: Please take care to rest, avoid sitting for long periods without getting up to move around, or standing for too long without sitting down.
Refrain from exerting yourself in the abdominal area for now.
Take care, and wishing you good health.

Reply Date: 2021/11/07

More Info


Understanding groin pain, especially in the context of physical activity like playing sports, can be complex. Your experience of soreness in the groin area following a game raises several considerations, particularly regarding potential underlying causes, including muscular, skeletal, and even psychological factors.

Firstly, it’s important to recognize that groin pain can arise from various sources. Common causes include muscle strains, ligament injuries, or inflammation of the tendons in the groin area. Given that you were active in sports, a muscle strain is a plausible explanation for your discomfort. The fact that you were evaluated for a hernia and found not to have one is reassuring, as inguinal hernias can often present with similar symptoms.

The medications you received, such as anti-inflammatory drugs and muscle relaxants, are typically prescribed to alleviate pain and reduce inflammation, which suggests that your healthcare provider suspected a musculoskeletal issue. These treatments can be effective in managing pain and facilitating recovery from strains or sprains.

Regarding your concern about testicular issues, such as testicular torsion, it’s crucial to note that this condition is a medical emergency. It typically presents with sudden, severe pain in the testicle, often accompanied by nausea and vomiting. Since you mentioned that the pain has not been severe and has improved over time, it is less likely that you are experiencing torsion. However, any persistent or unusual sensations in the testicles, such as the feeling of them being "stuck" or elevated, should be evaluated by a healthcare professional to rule out other conditions, such as epididymitis or varicocele.

Psychological factors can indeed play a role in how we perceive and experience pain. Anxiety about potential injuries or conditions can heighten awareness of bodily sensations, leading to increased discomfort or the feeling that something is wrong. This phenomenon is often referred to as "somatic amplification," where stress and anxiety can exacerbate physical symptoms. If you find that your worries about your health are affecting your daily life or causing significant distress, it may be beneficial to speak with a mental health professional who can help you develop coping strategies.

In summary, while your groin pain is likely related to a muscular issue from your recent physical activity, it’s essential to monitor your symptoms closely. If you experience any new or worsening symptoms, such as increased pain, swelling, or changes in the testicular area, seek medical attention promptly. Additionally, addressing any underlying anxiety or stress through relaxation techniques, counseling, or other supportive measures can be beneficial in managing both your physical and emotional well-being. Always remember that open communication with your healthcare providers is key to ensuring comprehensive care and addressing any concerns you may have.

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